Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13167 | Date 30/01/2024 |
| Token No | SM/22-23/28524 30/01/2024 | Serial | 007 Last Visit: 30/01/2024 |
| Patient Name | Master SK AHAD | Contact No | 9330621815 |
| Address | 23/1 CHATRA MUSALMAN PARA BYE LANE SHEORAPHULI | Age | 1 Years,8 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||